8 y 13junio 2023

NAZARENO
Hola mis queridos amigos y grupos de estudio este file
va dedicado ami querido jesus de nazareth quien es el
autor para que yo haya hecho mi examen y asi como se
lo pedí ,y sé que mi pass viene pronto y yo se que sin su
ayuda no viera sido posible, el estara con ustedes ese
gran dia para ayudarles, no saben lo increible que se
siente tenerlo al lado y sentir su amor y su presencia
conozcanle y veran y conoceran la verdad con amor una
gran guerrera que lucha por el gran sueño de llegar ser
Dentista en este gran pais. Las guías de este file fueron
God whisper , you never walk alone y miracle y segundo
día Jerusalem, deseo con todo mi corazón que a mis
amigas que hemos luchado tanto presentan pronto les
salga este examen tan hermoso
1.A patient requests that his records be sent to a new provider,
but he has an owing balance on his account. What should the
dentist do?
A. Deny the patient’s request
B. Request 50% of previous treatment be paid prior to records
being released
C. Inform law enforcement
D release the patient records

Patients have a right to their healthcare records under the

Health Insurance Portability and Accountability Act
(HIPAA). Under HIPAA, providers have a 30-day limit to
provide dental records upon written request. Even if the patient
has an outstanding bill for dental services, the provider is still
obligated to release the patient’s records. Failure to release the
patient’s dental records can result in a complaint to the state
dental licensing board and fines.

2. CAD-CAM advantages when you compare with convencional

technique
a. Esthetitc
b. Processing
3. Treatment to a lesion with civatte bodies in liquen planus)
Clobetasol

4. X ray device hygiene:

A. Double wipe, single barrier
B. Single wipe , single barries

5. Pulp comes from:

A. Dental Papilla
B. foliculo dental
6. Child with sleep apnea. What is responsable:
Enlargement of tonsils
7. Stardard mask, percentage:
a. 65-95% 55-85%

b. Above 95%

8. Patient taking amitriptyline and hydrochlorothiazide. Which

one is responsable for dry mouth:
a. Amitriptyline
b. hydrochlorothiazide

9. Systematic Review
A.Less Cost
b.Less relevant

10. second Mandibular molar access trapezoidal

11. A patient is meth addict METHAMPHETAMINES and rampant

caries first time in the office which type of x rays he needs?
A. FULL MOUTH SERIES
B BITEWING
C. PANORAMIC
12. Pontic with worst hygiene (worse to clean):
A. Saddle or Ridge Lap
B. OVATE
C. RIDGE LAP
D. SANITARY

13. Pontic for first maxillary premolar

A. RIDGE LAP
B. MODIFIED RIDGE LAP
C. SANITARY

14.Tetrallogy of Fallot Succesfully repair GIRL 32 YEARS:

A. NO PROFILAXIS NEED
B. AMOXICILIN 2g
C. Azitromicin

15. Boy 5 years whith tretalogy of fallop surgicalle treat

A. CONSULT WHITH CARDIOLOGY PEDIATRIC
B. CONSULT WITH PEDIATRIC
C. AZITROMICIN 15 mg

16. Contact dermatitis –

A. hypersensitivity type IV
B. Hypersensitivity Type I
C. Hypersensitivity type II
17.Inmunoglobulina in liquid crevicular
A. IgG
B. IgA
C. IgM
18. Flap in third mandibular molar:
A. it has to finish in solid bone
B. full trickness

19. Primary tooth intruded 8 years old kid:

A. wait the reeruption
B Extraction
C MONITOR

20. Picture like this without the matrix 8 has enamel and dent

In fracture and 9 has a little piece off in enamel

. Ask for ellis classification: Class 1 #9 and Class 2 #8
A. 8 class 3 only
B. class 3 and 9 class 2
C. 8 class 1 9 class 2
D. 9 class 1
21. What is a life-threatened situation if a patient swallows a
clasp?
A. If it goes to thraquea
B. If it goes to right bronchi
C. If it goes to left bronchi

22. You are doing endo 17 tooth is cleaned and shaped, you
irrigate and from mb conduct it starts bleeding and pain. What
happened?
HYPOCLORITE ACCIDENT. *If they ask the pulp is vital and
you are still cleaning - that is vital tissue in the apex

23 Most common cracked tooth - second mandibular molar.

24. What is the best prognosis of fracture
a) cracked tooth and broken cusp
b) broken cusp, vertical fracture

25. Which one is the exception? SPORE TEST MONTHLY, (THE

CORRECT IS WEEKLY)

26. What type is spore test

HEAT AUTOCLAVE
27. COLD AUTOCLAVE
28. Atrial fibrillation- likely emergency-
a)seizure b)Stroke c)heart attack
29. Oral health literacy

A. The ability of individuals to find oral health-related

information and services in order to make well-informed
decisions for themselves and others.

B. The support that organizations put forth for individuals to

find, understand, and use health-related information and
services in order to make well-informed decisions for
themselves and others.

C. The ability of individuals to obtain, process, and

understand oral health-related information and services in
order to make well-informed decisions for themselves and
others.

D. The ability of individuals to obtain and understand oral

health-related information and services in order to make
well-informed decisions for themselves and others.

30. Increased mucous secretions in acute asthma cause by-

a)acetylcholine release
b)norepinephrine release
c)5HT release

31. Von willebrand disease which type is qualitative

a)Type1
b)Type 2
c)Type 3 most severe

32. Which of the following properly sequences embryologic

tooth development?
A. Apposition → Calcification → Bud → Cap → Bell
B. Calcification → Apposition → Bell → Cap → Bell
C. Bell → Cap → Bud → Apposition → Calcification
D. Bud → Cap → Bell → Apposition → Calcification
33. What is the mechanism of action of ibuprofen?
• A. Irreversible cyclooxygenase inhibitor
• B. Non-selective cyclooxygenase inhibitor
• C. 5-Lipoxygenase inhibitor
•

34. A research is doing a study about fluoride absorption,

which could affect the accuracy of the study
A. Altitude and its influence on fluoride absorption
B. Difference in absorption between men and women
C. Difference in the concentration of fluoride in the different
natural sources
D. Failures in the sensitivity of the tests in providing results

35. Denying drug abuse hydrocodone- which principle violated

A. no autonomy
B. Non maleficence
C. Veracity

36.Numbness resolved after implant surgery- which injury

happened
a)axonotmesis
B)neuropraxia
c)neurotmesis
d)neuralgia

37. mucoperiosteum of maxillary sinus is

called- schneidner membrane

38. Bias in choosing and retaining participants in study

- a)sampling bias
b) confounding bias
C )selección bias
Attrition Bias
39) Severe bone loss, bleeding on probing what systemic
disease will you base the findings on-
a)diabetes
b)Crohns disease
c)Rheumatoid arthritis

40 Which factor determines root canal anatomy-

a)caries
b)occlusion
c)age

41. Law of concentricity, which area of pulp chamber has

concentric walls at which level
a)height of contour
b)root apex
c)middle of pulp
d)CEJ

42. Where will you check furcation defect in a maxillary molar

- a)mesial distal palatal
b)palatal and distal,
c)buccal, mesial, distal

43. Atrophied mandible low retention what treatment plan-

a)conventional CD
b)implant retained fixed denture
c)implant retained overdenture
d)mini implant overdenture

44. What planes can you see extra oral laterally-

a)Anteroposterior and vertical
b)AP, transverse and vertical
45. Which design has indirect retainer- a
)class 1mod1
b)class 1 mod 2
c)class3
d)class4

46. Migraine pain is carried by which nerve fiber-

a)C
b)A-delta
c)A-beta

47.Angina pain,
dull pain is carried by which nerve fiber-
a)C-fibers
b) A-delta

48.Fibers around implant –

a)circular fibers
b)biological width 3mm above
c)junctional epithelium and sulcus
d)fibers embedded on implant.

49.Collagen fibers starts forming in

A 48hrs
B 2 weeks Collagen matrix 4-6 weeks
C 2 days 2-6 days

50.Cross sectional and longitudinal studies measure-

a)risk
b)association
c)cause
51 Asking sick employee to stay home is which control-
a)administrative
b)elimination
C engineering

52 HCV pt what to use-

a)N95
b)PPE
c)double latex gloves
d)double vinyl gloves

53.Mandibular anterior gingiva stood out- asked what could be

reason—
a)free gingival graft
b)lichenoid reaction (Other teeth had recession)

54.History of relapse AML treated with allograft stem cells what

could be reason for lichenoid reaction-
a)graft vs host disease
b)leukoplakia
55. Cartilage growth except-
A. Length by appositional growth
B. Length by interstitial growth
C. Cartilage resist more direct compression than bone
D. Cartilage is intramembranous ossification

56. What can be adjunct to scaling and root planing in pt who

had very deep pockets in molars and incisors
- a)chlorhexidine
b)metronidazole
c)Minocycline
d)tetracycline
57.Preauricular crepitus, not painful what will you do except-
a)refer to oral surgeon
b)palliative meds and monitor
c)occlusal guard
d)arthrocentesis

58. Community water fluoridation what ethical concepts are at

conflict
- A. beneficence and autonomy
B. Beneficence and Autonomy
C. Autonomy and justice

59.Endo access tooth, why do you use dual cure composite-

a)depth of increment
b)better quality
60. Tooth 13 is negative for cold testing. Positive to percussion
and palpation. No sinus tract or swelling in the buccal
vestibule. What is the pulpal and periapical diagnosis?
A. Irreversible pulpitis; acute apical abscess
B. Irreversible pulpitis; symptomatic apical periodontitis
C. Pulpal necrosis; acute apical abscess
D. Pulpal necrosis; symptomatic apical periodontitis

61. What is most useful in differentiating between an acute

apical abscess and an acute periodontal abscess?
A. Palpation test
B. Periapical image
C. Anesthetic test
D. Percussion test
E. Electric pulp tester

62. Drooling in Bell’s palsy is caused by muscle supplied by

which branch of facial N-
a)Zygomatic
b)buccal branch
63. Osteoinduction from allograft all involved except-
a)BMP
b)TGF
c)IL-1B
d)PGDF

64. interferon gamma stimulates B-cells to produce which one-

a)IgA
b)IgE
c)IgM Or IgD
d)IgG

65. Which has better prognosis-

A. cracked tooth,
B. crown infarction,
C. vertical fracture

66.Pt has 25mm jaw opening, and deviates to left on

further opening what could be cause-
a)left condyle doesn’t rotate
b)Left condyle doesn’t translate
c)right condyle doesn’t rotated
D)right condyle doesn’t translate

67. New type of Zirconia crown has statistically better

flexural strength than old types. What can be inferred ?
a)New zirconia crown performs better short term clinically
b)new crown would perform better in long term
c)clinical significance cannot be inferred based on flexural
strength alone.
 68.Odontogenic infections mainly contain-
a)aerobes
b)facultative anaerobes
c)obligate anaerobes

69.Topical anesthetic applied intra canal what does it cause-

a)apical bleeding
b)causes unwanted apical seal
c)coats the canal and interferes with obturation

70.Description of necrotizing gingival disease-

a)loss of interdental papilla
b)negative nikolskysign
C vescicular lesions

71. Ideally alveolar crest should at which level-

a)3mm apical to CEJ Alveolar crest 1.5-2mm apical to the CEJ
b)2mm above CEJ

72. Patients on dialysis on Monday and Thursday, when to

treat?

A. Tuesday

B. Wednesday

C. Saturday

D. Sunday
73. Based on the clinical presentation, what is the most likely
mechanism of transmission of the infectious process present in
this patient?

A. Aerosols

B. Direct contact

C. Droplets

D. Fomites

74. Which of the following option allow the dentist get

directly reimbursed from the insurance? my choice was
PPO

75. which of these medications can contribute to

xerostomia, the box said that the patient had bipolar
disorder, depression, hypertension

a.Amitriptyline

b.Hydrochlorothiazide

c.Omeprazole
 76. Lisinopril MOA

a. Flushes out water and sodium

b.block calcium channel

c.Inhibit the narrowing from the blood vessels and decrease

workload of the heart.

77. Omeprazole MOA

A)Proton pump inhibitor

B) inhibit 5TH

78.What type of investigation was conducted in the

Colorado Brown Stain case:

a. Assessment

b. Assurance

79. Warfarin MOA , in the patient's box it said cc: "my

gums bleed a lot when I brush", bleeding on probing.
Took Warfarine and the question was: wich is the
medications that poduce the condition referent to the
chief complain:

Inhibit Vitamin K
(epoxide reductase enzyme (inhibit synthesis of factors II, VII,
IX & X vitamin K dependent)

80. Identity malocclusion Class

Similar picture

A. Class I
B. Classs II
C. Class I div I

81. Old women Gad lesions on the left cheek inside the
mouth on the mucose and out side on the face, that
didn’t cross the midline
a. Shingles
b. Measles
C) herpetic smatomatitis
d) ulcer aftas

82.Shingles is related to:

a. Zoster
b. Simplex
83. Complete denture on upper. type of tissue where it
ends (like seal posterior)
No keratinized and minor salivary glands
a. keratinized and minor salivary glands
b. Keratinazed major salivary glands
c. Keratinazed and cancellous bone
d. no keratinized gingival

84. Pierre Roubin is related to what other syndrome?

a. Sticklers
B . Gorlin
C down

85.Kennedy Class similar picture

A. Class 2 mod 2
B. Class 2 mod 1
B. Class 3 mod 1
86. year old girl with bilateral swelling and all
caracteristics of hypotireoid. Elevated TSH, T3 and T4
low. Stature lower than the ratio Had half of the normal
stature for her age.
a. Cretinism
b. Cherubism
c. ectodermal displasia
d.pierre robin
87.Pierre Roubin caracteristics except:
a. Bifid tongue
b. Micrognatia
c. Cleft palate
d. Glossoptose

88. Patient had an implant placed and felt numbness for

some days, no pain. You relax patient and says it is
transitory and will be back to normal. And it does come
back to normal. What did happened in this case?
a. Neuralgia
b. Neuropraxia
c. Neuroetmesis
d. Axonotmesi
89. Lots of Ellis II trauma questions fracture on tooth
that expose enamel and dentin and subgingival no pulp
exposed.
a) I
b) II
c)III
d) IV
90.One trauma with pulp involvement
a. Complicated fracture (my choice)
b. uncomplicated
c.simple
d. didn’t make sense

91. Cracked tooth syndrome

a. Mandibular 1st molar
b. Mandibular 2nd molar
c. Maxillar 1st molar
d. mandibular 1st premolar

92.PT box . Chief Complain: “ I want pull out all my

teeth” no caries, no periodontal disease, pt in good
conditions..Patient wants to extract all teeth and you
explain him that you can’nt do that and explain possibles
options of treatments. What etic principles you follow
up.
a. Non Maleficence my choice
b. veracity
c.autonomy
d. justice
93.X ray to see maxillary sinus
a. Waters my choice
B panoramic
C periapical
d. lateral cefalometric.

94.Crepitus on preauricular region TMJ, no pain. On the

pt box in a corner and little said “ NEGATIVE or –RAF “
(FACTOR REUMATOID ARTRITIS NEGATIVE):
a. Gout Arthritis
b. Osteoarthritis
c. Reumatoid Arthritis

95. What we can found on the Panoramic:

a) Article eminence erosioned
b) erosion of the condyles
C erosión zigomatic

96. Treatment for this patient all except:

a) artrocentesis
b) Nightguard

97--Also wich RX is used to see the condyles and dx this pt

a) Panoramic:
b) CT
c) Lateral cefalic
d) Cbct
98. Class III definition
a. Mesiobuccal cusp of the maxillary first molar occludes distal
to the mesiobuccal groove of the mandibular first molar
99.Distal step can lead to
a. Class II
100.Water optiomal fluoridation
a. 0.7ppm
101.What medication patient was taking could affect in
patient stress management during dental procedures :
a. Corticoid
b. Mycophentolate
c. Omeprazole
102 Patient taking XARELTO for atrial fibrillation. What
complication he was most prompt to have in dental
chair:
a. Angina
b. Stroke
c. Heart Attac
d. syncope

103. What muscle depresses soft palate?

a)palatogloso
b)geniohioide
c)buccinator
d)digastric
104 Pt Box about healthy patient femenine, like 30
years old. Look well at the patient box because I did;nt
see the information at the first time. The question was
something like what is the affected fibers on the blood
vessels of the condition in this pt. Know about the fibers
not only in toothache situations, but systemica:
a) A Delta fibers
b) A gamma Fibers
C) C fibers

105. Mucus production in asthma

What is the effect of acetylcholine in asthma? Acetylcholine
binds to muscarinic receptors to play a key role in the
pathophysiology of asthma, leading to bronchoconstriction,
increased mucus secretion, inflammation and airway
remodelling.
a. Aceltylcholine
b. Norepinephrine

106.PT box SAID “ Patient allergic to Lidocaine and they

give you all optins of amide.
All of the options are potential local anestesic that can
cause allergic to this patient excep one:
a.Tetracaine
b. Lidocaine
C mepivacaine
107. Peri-implantitis case to identify with one picture
6mm on probing, with bleeding.
(pt was taken Biphosfonates). On the periapical image I
saw 2 rings of the implant with radiolucency in one side
(maybe mesial) and the other side with mild radiopaque
image (Distal) wich option is correct:
a)mucositis
b)implant faillure
c)Periimplantitis

108. How to treat peri-implantitis

a) CLorhexidine rinse
b) SRP
c) SRP whit sytemic antibiotics
d) surgery debridment
109. Know how to identify a Localized and Generalized
periodontitis.
This was a pt box femenine 24 years old. (also they gave me
full mouth, periochart, and intraoral images) (on the intraoral
images we can see a mild inflamation but no too much really,
and just the number 30 with reccesion maybe of 2 mm
aproximatly). she has 28 teeth (all without the wisdoms) on
the periochart I saw 14 teeth affects, with probing between 4,
5 and 6 mm. Also in # 15 a probing of 9 mm and # 30 with a
probing of 8mm (the bone loss was vertical in mesial #15 and
distal#30). Wiht bleeding on probing. the choices were:
a)Generalizade stage II
b) Generalizade Stage III
c) Localizate Stage I
d) Localizate Stage II

110. Know how to treat it –

A) minocicyclin (Arestin)
B) Metronidazol
C) Clorehexidine
doxyciclyne chronic periodontitis

111. Tetracyclin affect teeth at what age mostly?

a. 14 weeks intra utero
b. 4y
c.10 y
d.2 months

112. One of them with a Periapical the boy was 8 y old, I don;t
remeber well but was a hit on the tooth #8 with pulp expose.
But they said like the tooth was vital (the hit happened about
60min.) What is the treatm of choice.
a) Apexogenesis
b) Apecficiation
c) Direct Pulp cap
d) Indirect pulp cap
-On the RX In Saw the Open apex, and also the boy was 8 y
old.
113- other cases with a periapical and two temporals
molars. . With completly roots 4 years. In the pt box said
deep caries with pulp envolved. Wich is the treatment:
a) pulpotomy and SSC (Stanley steel crowns)
b)pulpectomy
c) direct pulp cap
d)Ext.

114. How long after eruption root will finish it’s growth?
a. 2-3y
b. 3-4y
c. 8 years
d.2 months

115. What should be included in an informed consent for

implant placement?
a. Surgery side effects (exactly these words)
b. Occupational hazards
116. They gave me a Full mouth how many teeth are?
Count very well presents, and also then no present
because on the periapical to the incisives #9 and #10 we
can’t no see the lateral we just see a little radiopacity
(like a light line on the border the RX) and on the
periapical of the canine the same (I just saw the canine

and the premolars, in mesial to the canine I saw a light

radiopacity that indicate that there was a tooth
present)… similar picture
a) 4 missing teeth
b)6 misiing
c)5 missing
d)7 miissing

117. Center of resistence in Maxillary incisisors? the

gave you and RX with incisors and a lot of bone lost.
Thay care they did;nt said of the pt or in relation of the
RX.
a. Apical third
b. Middle of root
c. At the crown
118. Metaplasia of tissue in COPD:
a. Stratified squamous non keratinized epithelial. my choice
b. Pseudostratified squamous epithelial
c. Stratified squamous keratinized epithelial
d. Stratified columnar epithelium

119 Identify anomaly with Xray periapical.

a. Dens in dente
B. pulp stone
c.concrecence
d.gemination

120 Level of protection on surgical masks:

a. 95%
B. 65%
121 Pt over sedation and Pressure machine starts drup
up/erratic with numbers. What to do first?
a. Check with pressure cuff and tube
b. Call emergency
c. administrated oxygen
122 What type of hypertension on a case person is
165/95 on pt box
a. Type II
b.type I
c.Type III

123. Pt box femenine 24 years old. Healthy no disease.

Weight:186 lb Height: 5.5” wich is ASA Physical Status
Classification System:

a) ASA I
b) ASA II
c) ASA III
d) ASAIV

124. Macula definition

a. Well-circumscribed and flat (my choice)
b. Well-circumscribed and stood out
c. Irregular boarders and flat
d. Irregular boarders and stood out
125. Interproximal decay Last Two years on someone
according to CAMBRA
a. High risk
B modérate

126. Muscles attached to lower incisors area

a. Geniohyoid and genioglossu
b.palatogloso and digastric

127. Whic muscle form the floor os the mouth?

a)milohioid
b) digastric
C)Lateral ptrigoid
d) buccinator
128 where we have to place the occlusal plane on the
retromolar pad when making a lower denture (these
exactly options):
a. 1/4
b. 2/3
c. 4mm above
d.5. 5mm below

129. Know that Go and Me points will lead to Mandibular

plane on the Lateral Cephalic RX
a. occlusal plane
b. lateral plane
c. mandibular plane

130. Phemfigus Vulgaris is a type of desease of origin:

a) Viral
b) Inmunologic
c)Bacterian
d)inheritance

131. An infection on premolar maxillary at wich space

we can see it:
A) bucal
b) lingual
c)canine
d)pharyngeal
132. Case about sialolithiasis on the parotide wich Rx
aim with the diagnostic:
A)periapical Panoramic or CBCT
B) cefalic lateral
c) oclusal

133. You have to select the most correct treatment

sequence.- in wich phase os the treatment you have to
do the reassement of the oral hygienic of the patient,
when yo are over the treament. once the treatment.
(something like that was confuse because they said
somethin that make thing that is not maintenance
because the treatment was no finish yet.
a)acute
b)disease control
C)definitve
d) maintenance
134. Intrusion of 4mm case . Pt box 8 year old. Hit his
face and present intrusion of 4 mm. Wich is the correct
treatment:
a. Wait to reerupt
b. extraction
c. splint
135 Best shade between the others that will take longer
to light cure:
a. D3
B C3
C D2
136. Maximum dose of epinephrine to an ASA I patient
a. 0.2mg
B 0.04 mg

137. Spore test – exception sentence

a. Done monthly Correct would be weekly

138. Male, 24 years old. CC: “I’ve had a bump on my gums for
the past year.” Hard, smooth, painless mass on the buccal
gingiva of teeth 14 and 15. Which of the following is the most
likely cause of the radiopacity demonstrated by the arrow?
A. Dense bony island
B. Compound odontoma
C. Buccal exostosis
D. Periapical cemento-osseous dysplasia

139. anti-HbS positive – what does that means?

a. Vaccinated
B acure
C negative
140. which cells are involved in exudade?
a. Neutrophiles my choice
b.macrofagos
c. lumphocytes
d.monocytes

141. Which ingredient in denture adhesive can lead to

neuropathy?
A. Copper
B. Zinc
C. Bis-GMA
D. Acrylated glycerin

142. What happens if you use topical anesthesia like

benzocaine into the canals?
a. Canal coating and difficult to obturation seal

143. Chest compression on adult:

a. 2 inches
B 2 Cm
C 4 inches

144. A patient is addicted to iv drug which is

CONTRAINDICATED:
a. Fentanyl
B midazolam
 145. Bluish under tongue comes and go (no photo
provided):
a. Ranula

146. Lateral swelling, pain when patient swallows

a. Infection of submandibular gland

147. Which Bacteria is resistant to clindamycin:

a. Pseudomonas Aeruginosa

148. Most common bacteria in root canal:

a. gram negative, obligate anaerobe

149. Which Bacteria is resistant to clindamycin:

a. Pseudomonas Aeruginosa

150. Most common chromosomal defect:

a) 21
b)12
c)23
d)8

151 High transmission In dental office, from least to

most:
a. Hep c, hep b, hiv
b. Hiv, hep c, hep b (0,3% / 1,8% / 30%)
c. Hep c hiv hep b d. Hep b, hep c, hiv
152. Which material is better for class V restorations
a. Ionomer
b. Composite
c. Sealant
d. Amalgam
153. Identify coronoid process on x-ray. Something like
this

154. How to do a diagnosis of sleep apnea:

a. Monitor sleep (polysomnography)

155. Implant. Except:

a. Fibers of PDL attached around implant.
b.fibers enveved along the implant
c.fibers circulars around the implant (something like that)
b. sulcus and epitelium (my choice)

156 Down Syndrome features present:

a. Atlanto axial instability
b.premature sutures
c.britle hair
157.A female came for filling restoration, for the next
appointment she has bruises in her eye and lip. What do
you do?
a. Nothing
b. Tell the assistant to ask what happened
c. Report
d. Ask the patient what happened in her face and write on the
her register.

158. Patient is taking 81mg of aspirin on pt box. Why are

the gums bleeding a lot?
a. Antiplatelets action of aspirin.

159. Female taking estradiol is getting extraction, all of

these is true regarding giving Antibiotics, EXCEPT?
a. Antibiotic will hinder contraception
b. Antibiotic can cause gastrointestinal disturbances
c. Can hinder with analgesics
d. Can result in allergic reaction
160. Pic with a maxillary premolar very Dark on buccal:
a. Amalgam
b. Vascular
c.varix
161 Infection on Mandibular molar:
a. Buccal space
b. Maxillary sinus
c.submandibular
162 Pt Box A patient has partial metal framework, was
delivered last week pt came back with redness soreness,
erythema and pain under the mayor conector of the
partial.
a. allergic reaction Metal frame
b. Candida
c. stomatitis herpetica
d.nicotinic stomatitis

163.Next step:
a. Ask the lab which metal was used and make another RPD
with different material.

164. Which ethic Is involved in report a child abuse:

a. Justice
b. Beneficence
c. Non maleficence
d. Autonomy
165. Right after the administration of local anesthetic,
the tornado warning sirens go off. The dental assistant
reports that this happens all the time, and there is no
danger of a tornado. What action should be performed
by the dentist?
A. Listen to the dental assistant and disregard the siren
B. Get consent from the patient and stop treatment
C. Ask the patient if they want to continue or stop
D. Immediately seek shelter with patients and staff

166 pt 12y panoramic and they asked which tooth erupts

first. . Was this exactly Panoramic.

a. 4
b.6
c. 15
d.17
167. What happens if a patient come for prophy but he
has active TBC (Tuberculosis)?
a. Defer treatment
168. When is the best time to see a patient with tb?
a. When it's latent.
169. What do you do if the same patient has a dental
emergency with ACTIVE TB?
a. Mask n95 and treat in a isolated room
170. Side effect of isoniazid:
a. Hepatotoxicity
171. What a dentist need to do if he has HIV :
a. Standard precautions
172. A patient with hep b or c what do you need to do?
a. Standard precautions
173. Clinical case: I'm in the town visiting a friend. He
wants opioid but he doesn’t have anything:
a. Give him ibuprofen
b. refer to a physician.
C call 911

174. A patient has history of drug abuse and he wants to

fill
a. prescription over the phone.
b.. Tell the patient to come to the clinic

175. Count one tooth less:

a. Fusion
176. Patient wheezing:
a. Give albuterol

177. Collagen matrix after implant placement forms in:

a. 4 weeks
b. hours
c.2-4 days
d. 1 day

178. Fluoride MOA:

a. Decreases the solubility of calcium phosphate

179. Pemphigus, all you can do, except:

a. Use prophylaxis air jet
180. Patient about 50y came for a cleaning and they
gave description of white palate with red area around
minor salivary glands (no photo). Asked what type of
condition it was?
a. Development
b. Reactive ESTOMATITIS

181 Bell's palsy, sign seen:

a. Drooling
182. Best evidence:
a. Randomized Clinical Trial (There wasn't Systematic Review
between the options)
b.cohort
c.expert opinions
d.cross sectional.
184. Pt on dialysis on Monday and Thursday. When to
treat the patient?
a. Tuesday
185. SLOB rule:
a. Same lingual opposite buccal

186. Graph interpretation potency vs efficacy of a drug

(easy) – which drug more potent? This below is just an
example very similar to what I have. The answer would
be drug B.

187. Tooth sensitivity after composite restoration due to:

a. Too much drying the dentin (dentin fibers collapse)

188. Most definitive way to diagnosis Pulp necrosis (like

confirm pulp necrosis):
a. Transillumination
b. Cavity test
c. Palpation
d. Percussion
189. Mucositis post radiation or chemo what to give?
a. Change rinse of clorhexidine for iodopovidone.
125. Autism pt management, except:
a. Voice control Sedation Desensitization

190. Osha protects who:

a. Employees
191. Cells responsible for root resorption:
a. Osteoclast
b.odontoblast
c.odontoclast
d.osteoblast
192. What cells do bisphosphonates act on?
a. Osteoclast
193. Specialty is not recognized by ADA?
a. Implantology
194. What type is spore test?
a. Heat sterilization
195. You are doing endo 17 tooth is cleaned and
shaped, you irrigate and from mb conduct it starts
bleeding and pain. What happened? Remaining vital tooth
a. Hypochlorite accident
196. Flap in surgery of mandibular tthir molar?
a. It has to finish in solid bone Full thickness flap
197. What type of hypersensitivity is contact dermatitis?
a. Hypersensitivity type IV
198. J shaped radiolucency?
a. Vertical fracture
199. Pontic for first maxillary premolar (aesthetic)
a. Modified Ridge Lap

200. Risk of mesial perforation during endodontic

access?
a. Maxillary first premolar

201. Multiple root canals?

a. Mesial root maxillary first molar

202. Civatte bodies seen in?

a. Lichen Planus
203 Muscle of mastication. Which one opens the mouth?
a. Lateral pterygoid (my choice)
b. Masseter
c. Medial Pterygoid
d. Temporal

204. Multiple root canals?

a. Mesial root maxillary first molar

205. Pregnant woman with an increase in volume in

buccal papilla that bleeds easily?
a. Pyogenic Granuloma
b. Fibroma
c. Mucocele
d. Carcinoma
206. A patient with Hepatitis B and C, liver cirrhosis,
what pain killer is contraindicated?
a. Hydrocodone
b. Acetominophen
c. Ibuprofen
207. Patient with hemofilia, What exam to do?
a. PTT
b. PT
c. BT
d. INR
208. Old patient will travel and needs opioids for the trip
(to relax), she had been prescribed the medication
before.
a. Prescribe just for the trip
b. Dismiss her as a patient
c. Refer to physician
209. Tooth faces considered for periodontal probing?
a. Mesial, facial, diastal
b.distal, palatine, mesial
c.distal facial, palatine
d.mesial, facial palatine.

210. A patient with opioid abuse goes to the clinic,

saying he is in pain for no apparent reason and that he
will not leave until he gets the prescription. What to do?
A. Give him the prescription
B. Call 911
C. Refer
211. Denying drug abuse hydrocodone- Patient came
requiring opioids, Dentist denied which principle is
involved
A. Beneficence
B. No maleficence
C. Justice
212. Which ethic Is involved in report a child abuse
A. Justice
B. Benefecience
C. Non maleficence
213. Dentist works in a clinic where previous dentist left
a long time ago and he still uses his name to advertise.
What violation?
Veracity
Justice
Non maleficence

214. Kid comes for sedation Mom said he didn't eat, the
kid said he had a bowl of cereal, what do you do?
Reschedule the app IV SEDATION
215.. Autism Patient EXEPT
A. Voice control
B. Sedation
C. desensitization

216. What opioid is synthetic?

Methadone
165.Fentanyl is 80 – 100 times greater than
a.Morphine

217. Reason to evaluate water lines

a.More than 800 FCU . MORE THAN 500
B 0-500 FCU
218.Best indicator of controlled diabetes:
HbA1

219.Musculoskeletal disease (Ergonomy)

a. Inappropriate operator working distance
b.inapropiate equipment

220.Father came with his son, 12 months old, for

evaluation. Father says they were on vacation and his
son is having a fever and dry cough. What is the first
appropriate management to do: Give mask to both
A. Refer to specialist
B. Give a mask to the father
C. Isolation both.

221 Patient addicted to methamphetamine, very bad oral

hygiene, many cavities, had not been to the clinic for a
long time. He has a fracture class IV on the central
incisor, no pulp exposure. What is the best treatment for
this patient?
A. Composite resin restoration
B. Veneer
C. Porcelain crown
D. PFM.
222. Dentist with HIV:
A. Can keep their job as a dentist
B. Has to stop working
C. Has to report it

223.CDC guidelines for Hep B

A. Can work but has to notify patients and employees
B. Can work but doesn't have to tell
C. Cannot work as a dentist

224.Open heart surgery in 3 weeks but has 18, 19 non

restorable teeth, 17 apical lesion with bone loss
A. Prophy and extraction of 18, 19, 17 teeth before surgery
B. Prophy before surgery and extract after

225 Patient, 18 years old, with no previous history or

medications, blood pressure 180/100 with no
symptoms, patient was in tooth pain. What do you do?
A. Prescribes pain medication.
B. Refers the patient to an emergency
C. Wait 5 minutes and check the pressure again.

226.Fail to completely block IAN due to

a.Ramification of Mylohyoid nerve (accesory)
227Asthma pt. Taking a steroid inhaler. Wipeable white
plaque like lesion on palate
a.Candidiasis
228. What to give?
Nystatin
229. What advice to give?
Rinse with water after taking inhaler
230.kid with extensive Caries on molar - treatment
A. Amalgam
B. Stainless steel
C. Sealant d
D. Composite

231.What is not a zirconia phase?

A. Cubic
B. Monolithic
C. Pyramidal
D. Tetragonal

232.Patient lost the primary mandibular second molar,

which appliance?
A. Lower Lingual Holding Arch
B. Distal Shoe If 1st permanent mand molar erupted band and
loop if it hasn’t erupted distal shoe
C. Band and Loop
D. Nance
233.Treatment for liquen planus
Clobestasol
234.Pierre Roubin is related to what other syndrome?
Sticklers
236.Pierre Roubin caracteristics except:
A. Bifid tongue
B. Micrognatia Cleft palate
C. Glossoptose

237Test for patient taking Aspirin?

A. PT
B. PTT
C. Bleeding Time.
238 Patient taking warfarin, what is optimal value?
A. 1 – 1,5
B. 2 – 3
C. 3.5- 4
239. Warfarin INR 2.5
A. Extract
B. Delay Treatment
C. Stop medication
240. How do we measure HbA1c?
A. Blood
B. Plasma
C. Red blood cell
241. Which component is used in topical anesthesia
A. Bupivacaine
B. Lidocaine
C. Benzocaine
242. Which of the followings need more anesthesia
A. Ian
B. Gow Gates
C. Mental
243. Which technique is more effective.?
A. Ian
B. Gow Gates
C. Mental
244.Pt box, Intrusion of 4mm case 8 years.old. Central
incisors
a. Wait to re-erupt

245. What is the best way to Know if the pulp anesthesia

is addressed in the lowar molar
A. Cold test
B. Performing acces
C. Ask the patient if the lip and tongue is numbing
D. Canal opening
246 Which of the following statements is true about p-values?
A. It is the probability of the sample data arising by chance
Or likely
B. It is calculated by taking the square root of the variance
C. It is the chance of getting an observed effect that the null
hypothesis was false
D. It represents the probability of type 1 error 19.

247 Albuterol (ProAir®) can cause each of the following

EXCEPT one. Which is the EXCEPTION?
A. Relax bronchial smooth muscle
B. Inhibits release of histamines from mast cells
C. Increases salivary secretion
D. Tachycardia

248 What is the difference between abrasion and abfraction?

A. Abrasion occurs in the cervical aspect of the tooth
B. Abrasion is more flat shaped
C. Abfraction is caused by foreign elements
D. Abfraction only occurs in the posterior dentition

249 Patient: Male, 23 years old. White edematous lesion on left

buccal mucosa that dissipates when stretched. What is the
most likely cause of the current finding?
A. Lichen planus
B. Squamous cell carcinoma
C. Leukoedema
D. White sponge nevus
 250 What is the mechanism of action of the medication used to
treat osteoarthritis?
A. 5-Lipoxygenase inhibitor
B. Phospholipase A2 inhibitor
Non selective?
C. Selective cyclooxygenase inhibitor Celecoxib
D. Irreversible cyclooxygenase inhibitor

251. Patient: Female, 51 years old. CC: “I have these weird

painful spots in my mouth.” Widespread painful, white, non-
wipeable lesions in the oral mucosa. A biopsy report identifies
Civatte bodies present in the lesions. Which of the following is
the most likely diagnosis?
A. Squamous cell carcinoma
B. Melanoma
C. Lichen planus
D. Aphthous stomatitis

252 Male, 51 years old. Osteoporosis Medications: Denosumab

(Prolia) CC: “I’m experiencing pain on my lower tooth when I
bite down.” Current findings: Deep caries on tooth 30
extending on the alveolar crest. Which of the following is the
most appropriate treatment option?
A. Crown lengthening followed by root canal therapy and
placement of a crown
B. Extraction of tooth 30 and tooth addition to denture
C. Coronectomy and root canal therapy followed by fabrication
of new removable denture
D. Excavate caries and build-up with composite
253 Which of the following bacteria is predominantly implicated
in peri-implantitis?
A. Gram-positive cocci
B. Gram-negative anaerobes
C. Gram-positive bacillus
D. Gram-negative

254.Patient: Male, 63 years old. CC: “I have a rash on my face

and it is hard for me to move my lips.” Background: Psoriasis.
Rash onset 2 days ago. Medications: cyclosporine (Neoral®).
Patient has a crusting vesicular rash on the right side of the
face that does not cross the midline along with limited mobility
of facial muscles and tinnitus on that side. Which syndrome is
most likely involved with the patient’s symptoms?
A. Melkersson-Rosenthal syndrome
B. Ramsay Hunt syndrome
C. Trigeminal neuralgia
D. Guillain-Barre syndrome

255. Same case. Which of the following nerves is most likely to

be affected?
A. Trigeminal
B. Facial
C. Hypoglossal
D. Vestibulocochlear
256 All of the following can be formed from culturing
mesenchymal tissue EXCEPT one. Which is the EXCEPTION?
A. Mucosa
B. Cartilage
C. Bone
D. Skeletal muscle

257. Female, 56 years old. Hypertension, hyperlipidemia,

asthma. Medications: Albuterol, Atorvastatin (Lipitor),
Metoprolol (Lopressor). What is the mechanism of action of the
medication used to control hypertension?
A. Increase nitric oxide release
B. Blockage of calcium channels
C. Competitively inhibits β1 receptors
D. Competitively inhibits β2 receptors

258. Which action will most likely cause the collapse of collagen
fibrils?
A. Excess drying
B. Excess preparation
C. Excess etching
D. Excess bonding
 259. Which study most clearly provides a temporal relation of
exposure and disease?
A. Cohort
B. Case-control
C. Cross-sectional
D. Randomized control

260 Which of the following occlusal schemes would be the most

ideal for complete dentures?
A. In centric relation with bilateral balanced occlusion
B. In centric relation with mutually protected occlusion
C. In centric occlusion with bilateral balanced occlusion
D. In centric occlusion with mutually protected occlusion

261. Tooth 18-DO decay with vestibular edema and active

purulent drainage. Well circumscribed radiolucency associated
with distal root of tooth 18, biopsied as radicular cyst. From
what tissue are the cells encapsulating this pathologic lesion
derived from?
A. Tomes processes
B. Stratum intermedium
C. Epithelial rests of Malassez responsable de formar CYST
D. Striae of Retzius
262. Which of the following is used to diagnose sleep apnea?
A. Mallampati score
B. Nocturnal sleep observation
C. Apnea-hypopnea index
D. Respiratory disturbance index

263. Bacterial elimination occurs during which stage of wound

healing?
A. Migration
B. Inflammation
C. Remodeling
D. Organization

264. What can cause anterior open bite, Except?

A. Airway obstruction
B. Prolong use of Pacifier
C. Migroglosia
D. Tongue thrust

265. The pulp of two teeth appears to be shared in which of the

following dental abnormalities?
A. Dens in dente
B. Concrescence
C. Fusion
D. Gemination
266 What type of hypersensitivity reaction is contact
dermatitis?
A. Type I hypersensitivity
B. Type II hypersensitivity
C. Type III hypersensitivity
D. Type IV hypersensitivity

267. Patient does not speak English accompanied by a spouse.

Tooth 17 gross decay, non-restorable. Each of the following is a
recommended method of obtaining consent EXCEPT one. Which
is the EXCEPTION?
A. Dentist speaks the same language
B. Assistant that speaks the same language
C. Patient’s spouse
D. Certified interpreter

268 What cell is related to hypersensitivity type I:

A. IgG
B. IgA
C. IgE
D. IgM

269. Which represents the mechanism of fluoride?

A. Decrease dissolution of calcium phosphate
B. Increase dissolution of calcium phosphate
C. Decrease availability of hydroxyapatite
D. Increase hydroxyl content within enamel
270.Upon removal of the provisional, the crown falls to the
back of the patient’s throat. The crown has not been able to be
retrieved. The patient claims to have no difficulty breathing.
What is the next step the clinician should take?
A. Remake the provisional
B. Deliver the final crown
C. Send the patient for a chest x-ray
D. Send the patient home with an antibiotic prescription

271 Post does not force the final restoration! Purpose of post
is: retain the core

272 Lesion in tongue CAULIFLOWER SHAPED.

Papilloma (6 and 11)

273 . Lateral swelling, pain – sialolith

274. Lateral swelling, pain when patient swallow

There wasn’t option of sialolith, the answer was infection of
submandibular gland

275. Which Bacteria is resistant to clindamicin:

Pseudomonas Aeruginosa

276. Most common bacteria in root canal:

A gram negative, bacteroides
B obligate anaerobe.
277. You are placing a screw and the piece disappear, the
patient is ok but he thinks he swallow it :
a. Check airway
b. Startcpr
c. cancel everything and go with the patient to the hospital for
a chest X ray

278. Periapical with foreshortening:

A. too much vertically angulated,
B. tooth appears shorter.

279. Which is the best way to see angle classification

a. Intraoral lateral
b. Intraoral frontal
c. Extraoral lateral
d. Extraoral frontal

280. Most chromosomal defect: 21

281. Patient with zometa iv, she has non restorable teeth,
needs endo and deep caries lesions, but she will have
chemotherapy in 2 weeks. What do you do? Endo,
CORONECTOMY and restore the other teeth.
282. Pt is taking Fosamax (ALENDRONATE 6 months) and she
has a root tip. What do you do?
a. Tell the pt to stop the Fosamax 15 days before
b. Tell the patient to decrease the doses of Fosamax
c. Extract and inform the risk to patient

283. Tooth with no remanescent structure

A– all metal Crown
B al cerámico
C gold

284. 208. What anesthesia shouldn't give to kid with 5y:

A. IAN block
B.Intraligamentary
C. Infiltration

285.When IAN block, which has the least chance to happen:

a.Ecchymosis
B Hematoma
D. Infection

286.Autism Pt management, except:

A. Voice control
B. Sedation
C. Desensitization
 287. Osha protects who:
A. Employees
B. Employers

288. Why Candida virus gets into the mouth and is not killed
by the host.
Candida is actually a fungus, not a virus, and the specific species of Candida that commonly affects the mouth is Candida albicans.
Candida albicans is a normal inhabitant of the oral cavity and is usually kept in check by the body's immune system and the balance of
microorganisms in the mouth. However, under certain conditions, such as a weakened immune system, hormonal changes, or the use
of certain medications (such as antibiotics or corticosteroids), Candida can overgrow and cause an oral infection known as oral
candidiasis or thrush.

289. Sandwich technique restoration, which material use as

base before composite: GI

290. What will affect the stress of the patient undergoing

extraction from a list of medication patient is taking?
A.Prednisone
B.Metoprolol
C. Alorupurinol

291. Patient comes with mom for extraction, mom want iv

sedation for her child because child I allergic
to dust and no allergist confirm the allergic to LA
. What do you do? You talk to mom to find out more
information
292. A female came for filling restoration, for the next
appointment she has bruises in her eye and lip what do you
do?
a. Nothing
b. Tell the assistant to ask what happened
c. Report
d. Ask the patient what happened in her face

293. New patient express hi is afraid of the dentist, I just left

my old dentist because he never understood my fear, what do
you do first:
ask the patient what is that make anxious about the dentist

294. Lesion that looked like fibrom on lateral tongue.

Diagnostic differential. Except :
A- shwannoma
B tumor cell granular
C -fibroma
D-verruca

295. Hbsa 7.0 controlled (for a well-controlled situation)

296. Hbsa 10
A. uncontrolled diabetes.
B Williams control
C normal
297. Female patient is taking oral contraceptives and she has
diabetes. What is the risk ?
A. The atb (antibiotic) affects the function of oral contraceptive
B. . The atb (analgesic ) affects the function of oral
contraceptive

298. Patient with diabetes and smoke which has more risk of
infection after extraction Smoking

299. Patient with oral trauma, which will not be a consequence

of this condition:
hormonal problems.

300. 14-year-old patient arrives at the office for dental

cleaning and is pregnant, she is with her parents but they do
not know.
A. to. the dr should talk to the parents and tell them that she is
pregnant
b tell the assistant to tell the parents.
c make her clean up and advise her that Phoebe be honest
with her parents and tell them
301
 Day 2
1.Which of the following represents the pathophysiology
of type II diabetes mellitus?
A. Autoimmune destruction of beta cells
B. Increase in cortisol production
C. Increased cellular resistance to insulin
D. Pancreatic tumor

2. Panoramic similar to this one asking what could

happen in the future:
A. Periodontal Defect
B. Caries on distal of tooth #18
C. External Resorption
D. Pericoronitis
E. Primordial Cyst
 3. Female, 64 years old. Hyperlipidemia. Medications:
Simvastatin (Zocor). CC: “My mouth is hurting.” During
the exam, the patient begins to have crushing chest
pain. Emergency medical services are activated, and the
patient is given a nitroglycerin tablet sublingually. What
is the mechanism of action of the medication provided?
A. Activates guanylyl cyclase
B. Increases cAMP
C. Inhibits COX enzymes
D. Blocks calcium channels

4. Pt box , is taking Carbamazepine , question was, how

act the medication’s patiente. (Moa)
A Voltaje sodium blocker
B Voltaje sodium
C Ciclase

5. Test for Hemophilia A

A. PT
B. PTT
C. Bleeding Time.

6. What is the cause of root discoloration due to trauma?

a. Breakdown of rbc RED BLOOD CELLS
b. Breakdown of white blood cells
c. Endotoxins
7 Lingual cusp fracture for premolar what to check?
A. Pulp vitality
B. Percussion
C. Restaurability

8 Masticatory force in complete dentures compared to

normal teeth.
a. 10%
b. 30%
c. 50%
d. 80%

9 What is showing on premolars x- rays – tiny xray

since it is from an FMX. There were some dark lines
scattered on it (film from bending):
a. Artifact for bend the film
b.foreign body
c.IAN
10. Identify Dilaceration in x-ray.

11 Statin MOA (on pt box)

a. Inhibits HMG Coa reductase

12 Nitrogliceryn MOA
a. Forms free radical nitric oxide (NO) which activates
guanylate cyclase enzyme.

13. Carbamazepine MOA:

a. Sodium Channel Blocker
b.Calcium channel blockers
c.beta blockers
d. Inhibit angiotensin I
14 Trauma case, pt box The patient fell and stuck his
chin to the floor - Identify laceration in cheek

15. Same case, identify skin abrasion

16. Kid with no teeth, periorbital wrinkles, and dry skin
a. Ectodermal Dysplasia
b.stikler sx
c.pierre robin
d. paget

17. Same case, refer to whom:

a. Pediatric to multidisciplinary treatment

18. Another characteristic

A. Palmo plantar hiperkeratosis
B. Dry eyes
C . Bífid ribs

19. One of the major features: Heat intolerance

20. Female with a small hairy lesion on the central of the

tongue, she’s concerned about the appearance. What
treatment?
a. Essential oil
21. Same case, type of biopsy?

a. Incisional biopsy
b. Immunofluorescence
22. Pemphigus vulgaris, old female patient,
desquamative gingivitis. Type of biopsy?
a. Perilesional biopsy
23. Same case, treatment?
a. Corticosteroide
24. Same case, what not to use?
a. Air abrasive jet
25. Patient 10yo, took anesthesia and had diarrhea,
nausea, vomit, rash. Diagnosis?
a. Type I hypersensitivity reaction
26. Same case, which sign represents allergic reaction?
a. Rash
27. Same case, management to rash?
a. Systemic antihistamines

28. Same case, after 4 weeks patient had another

reaction - some lesions on skin (target lesion).
Diagnosis?
a. Type IV hypersensitivity reaction
29 Same case, type of lesion?
a. Erythema multiforme
30. Same case, what is the management?
a. Cortisol
31. Extracted tooth 30 molar, very radiopaque spots on
panoramic. Diagnosis?
a. Foreign body
32. A 35yo patient with RA, she takes Methotrexate and
Humira medication. MOA of medication for Reumatoid
Artritis?
a. TNF Alfa blocker (humira)
33. Same case, what blood test has to be done?
a. Creatinine Clearance Test
(methotrexate can impair kidney function)
34. After oral examination and discuss all the options for
treatment and patient said he agrees with it. What the
type of consent is:
a. Informed consent
b. Expressed consent
C. Implent consent
35. Same case, what type of ethical code is it?
a. Autonomy
36. How to check interferences in the inner surface of a
crown?
a. Vinyl Polyether Silicone (Fit checker®)
37. Same case, Upon crown try-in of another crown, it
didn’t go down and had open margins on distal. What is
the cause?
a. Thigh contact on distal
38. A diabetic patient with HBA1C 10%. Should you
prescribe antibiotics?
a. Yes
39. HbA1c is the average blood glucose (sugar) levels
for how long?
a. 3 months
40. HBA1C is also known as:
a. Hemoglobin glycated

41. A patient with a history of thyroid surgery, has

hoarseness voice. Which nerve is responsible? a.
Recurrent laryngeal nerve
42. Descriptive, no images. Diagnosis:? Pt box taking
biphosponates
a. MRONJ
43. Same case, management except?
a. surgical exploration
b.clorhexidine rinse
c. systemics antibiotics
d.monitorin
44. Refer to?
a. Maxillofacial surgeon
b.prosthodoncist
c.Endodoncist

45. Same case, what is the main advantage of the non-

rigid attachment?
a. Esthetics
46. Minimal amount of bone for implant placement
between two natural teeth?
a. 3.5mm
b. 6mm
c. 7mm
d. 9mm
47. A 45yo male, alcoholic has liver cirrhosis, wears a
partial denture, man complains about bad breath,
erythema bellow denture base. Diagnosis?
a. Candida reaction
48. Same question, shows periapical images and ask
what has between 2 specific teeth?
a. Caries lesion (very easy to identify)
49. MI episode in 8 months, what ASA classification?
a. I
b. II
c. III
d. IV
50. A 25yo female patient that was so lethargic, her
blood pressure was 80/60, has bronze pigmentation.
Diagnosis?
a. Addison’s disease
51. What kind of medication should be given for this
patient before yo treat in the clinic
a. Corticosteroids
B Inter consulta physician
52. A patient with peptic ulcer, what is the
microorganism that is responsible?
a. H. pylori
53. A decrease in Carbon Dioxide (CO2) in your blood
will lead to
a. Increased Tidal volume
54. Primary bacteria in dental caries:
a. S.mutans
55. A 32 yo female patient, with a crown on upper
central that keeps falling, patient has deep bite. What is
the cause of the problem?
a. Problem on occlusion

56 After reviewing and analyzing the PFM prosthesis, it was

noted that the stitch is poorly adapted and that it is not
possible to re-cement it , what to do next?
a. Alginate impression models
B. Remover the prótesis PFM
C. Cement again

57. multiple sclerosis (MS) is closely related to

oligodendrocytes, Is Autoinmune

58. Patient with moderate pain after extraction of 3rd

molars what painkiller to give?
a. 400mg Ibuprofen + 325 mg Acetaminophen
500mg acetaminofen
59. MOA Ibuprofen?
a. Non selective reversible COX inhibitor
60. A 20 YRs old female, with a lesion on the lower lip
that needs a biopsy, what are the arteries that supply
the lower lip:
A. Inferior labial + Mental
B. Inferior alveolar + mental

61. 10-year-old kid, had anesthesia had rashes and hives

and wheezing. Diagnosis?
a. Type I hypersensitivity reaction
62 Same case. Management?
a. Epi pen (injectable epinephrine)
63. Same case, how to treat the hives?
a. Topical steroids
64. Same case, had another reaction after 4 weeks.
Diagnosis?
a. Type IV hypersensitivity reaction
65. Same case, had lesions around the mouth.
Diagnosis?
a. Erythema multiforme
66. 45-year-old male, alcoholic has liver cirrhosis, wears
a partial denture, ,main complains about bad breath,
erythema bellow denture base whith hypahe Diagnosis?
a. Candida albicans
67. Same case, what the best treatment?
a. Topical antifungal
68. A 50-year-old female, with white stria on her cheek.
What’s the diagnosis?
a. Lichen Planus
69 Same case, what treatment?
a. Clobetasol
70. A 16-year-old female with pain on upper right first
premolar, pain that awakens the patient at night, on cold
test patient had lingering pain for more than 12 seconds,
tooth is tenderness to percussion. Diagnosis?
a. Irreversible pulpitis with symptomatic apical periodontitis
71. Periapical radiografic. image.

((Was a picture like this, and was the tooth #22, the PDL very
widened, had mobility, and bone loss.))
72. Same case, what is the treatment to improve the
prognosis for the design to this RPD (a lot of bone loss)?
a. Change the rest from distal to mesial
b.splint with #21
C. Change the distal to palatal
73. Same case, what is the main purpose of this
connector?
a. Retention
b. Support
c. Stability
d. Esthetic Advantage
74. Same case, what is the main advantage of the non-
rigid attachment?
a. Retention
b. Support
c. Stability
d. Esthetic
75 COPD patient is correct? Except
A- supine position
B- Semisupine
D. Short apointment

76. Pt with heart surgery in 2 weeks. 2 non restorable

tooth and 1 periapical lesion what to do:
A- Prophy and extractions before surgery
B- Only prophy
C- Prophy and Extractions after surgery
D- Endo treatment before surgery
77. Pt underwent chemotherapy, pt has dry mouth and
pain when swallowing. What can it be?
A- Mucositis
B- Normal manifestation candidiasis
78 Pt with testicular cancer and many other conditions
and medical prescriptions, what antibiotic to give?
A- Ciprofloxacin
B- Tetracycline
C- Penicillin vk
D- Azithromycin
79. Patient with a previous history of childhood
rheumatic fever, what is true about?
Es por e+streptococo b
A- Caused by the class of Staphylococcus hemolytic type a
B- Origin or due to oropharyngeal infection
C- It affects the heart and joint joints.
80 This condition above is likely to develop what?
A- Rheumatoid arthriti scarlet fever
81. Patient takes amphetamine, which is not a side
effect of the drug?
A- Xerostomia
B- Tachycardia
C- Agitation
D- 101 deg F and above temperatures (fever)
82. The same patient presented swelling in the lower left
region, with pain, vital signs BP 138/90, Fever 101F, dry
mouth. What do you do?
A- Incision and drainage
B- Do the procedure
C- finalize a tx plan then reschedule
D- Refer to physician *I chose that cause patient had fever and
swelling.
83.
Picture showing a small lesion between soft and hard
palate. The picture was a lesion like this but small and
more back, in the line between hard and soft palate.

a. Incisive cyst Except??

b. Granular cell tumor
c. Central giant cell
d. Pleomorphic adenoma
84. 35 YRs old male with pain on upper left central incisor, pain
is on biting, radiograph shows #9 with root canal treatment,
abscess above the tooth was traced by using Gutta percha:

Diagnosis:
A. Irreversible pulpitis
B. Reversible pulpitis
C. Necrotic

85. A 16 YRs old female with pain on upper right first premolar,
pain that awakens the patient at night, on cold test patient had
lingering pain for more than 12 seconds, tooth is TTP:
Diagnosis:
A. Irreversible pulpitis with symptomatic apical periodontitis
B. Reversible pulpitis with asymptomatic apical periodontitis
C. Irreversible pulpitis with acute absces

86. A patient was asked if it’s ok to examine his teeth,

what the type of consent is: Informed consent Implied consent
What type of ethical code?
A. Autonomy
B. Veracity
C. Beneficence

87. A patient wants to extract all his teeth, dentist refused

to provide treatment: Breach of Autonomy

88. Principle of ethics for different treatment options:

Autonomy
89. A general dentist said that he is a specialist what code
of ethics has he breached?
Veracity
No maleficence
Autonomy

90. A 5 YRs old kid came to your clinic needs treatment,

from whom should you take the consent? Mother or Kid?
A. Mother
B. Patient

91. cartuchos es safe lidocaine con epinephrine en un

paciente COPD
A. 2
B. 7
C. 4

92. Antibiótico safe for pregnancy

A. Cephalexin 500 3 veces al día por una semana
B. Amoxicillin 500 3 veces al día por una semana
C. Clindamycina 300 3 veces al día por una semana

93. Paciente bruxista tenía una PFM de 3 unidades en

inferior molars y el cómplaint era que quedaba corto el
póntico

Chip contact en mesial

Se debe cambiar por otra PFM
1 al metal noble chamfer Margin
2 al metal nombre shoulder margin
3 all ceramic
4 metal porcelain
94.

95. A 4 YRs boy with Muscular dystrophy, needs pulp

treatment of lower 2nd molar.
What kind of anesthesia to use?

IAN BLOCK

96. If mother is a carrier and father has no disease what

is the percentage that the kid will have the disease?
25%
50%
97.
A 35 YRs old patient with RA, she takes Methotrexate AND
humira medication?
What blood test has to be done?
CBC
Creatinina clearence
INR

98.
Moa of humira?
HUMIRA specifically binds to TNF alpha, an inflammation-
causing protein, and blocks its interaction with
other cells.

99
What can RA lead to?
A. Myocardial infarction
B. Infección

100. A patient with exocytosis, if a biopsy was take what

will be seen under microscope?

Normal mucosa and normal bone

101. Patient with mitral valve prolapse, would you give

antibiotics? NO

102. Patient with síndrome down 14 years whith atrial

sept al repair , would you give antibiotics?
A. No needed Or refer?
B. Amoxicilin 500
C. Azitromicyn 15
103. A radiograph of a with root canal treatment, what do you
see

A. Short G.P
B. Bone loss

104. A patient with peptic ulcer, what is the microorganism

that is responsible for peptic ulcer?
H. pylori

105. Complication of clindamycin? Pseudomembranous colitis

Other options

106. Patient with moderate pain after extraction of 2 3rd

molars what pain killer to give?
400mg Ibuprofen+325mg Acetaminophen
500 mg
107. Patient with COPD, metaplasia happens to respiratory
cells, into what kind of cell do lung cells change
to?
A.Stratified squamous non keratinized epithelium.
B. Stratified squamous keratinized epithelium.

108. A patient with a history of thyroid surgery, has

hoarseness of voice. Which nerve is responsible?
Recurrent laryngeal nerve.

109. Primary bacteria in dental caries? S.mutans

110. Side effect of Losartan? Altered taste

111. Side effect of hydrochlorothiazide? Xerostomia

112. Patient with scurvy for 20 years, has periodontitis and

bleeding in gingiva? Cause?
Nutritional deficiencies

113. MOA of statins?

Inhibition of HMG-CoA (hydroxymethylglutaryl-coenzyme A)
reductase.

114. A deaf and mentally retarded patient, came for treatment,

his wife is his legal guardian? Who should sing the consent?
The patient’s wife.